Survey of Satisfaction with the Disability Evaluation System (DES)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
VA System of Records 58VA21_22_28.docx	Supplementary Document	Uploaded 2011-01-18	Available
DES Justification B -Final.docx	Supporting Statement B	Uploaded 2011-01-18	Available
DES justification A -Final.docx	Supporting Statement A	Uploaded 2011-01-18	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
192076	Survey of Satisfaction with the Disability Evaluation System (DES)	Other-Survey	New

ICR Details

OMB Control No: 2900-0762	ICR Reference No: 201002-2900-009
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: VA	Agency Tracking No:
Title: Survey of Satisfaction with the Disability Evaluation System (DES)
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 01/31/2011
	Date Received in OIRA: 08/06/2010
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2014	36 Months From Approved
Responses	403	0	0
Time Burden (Hours)	101	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: Survey of Satisfaction with the Disability Evaluation System (DES): VA Public Contact Representatives at VA National Call Centers will call DES Pilot Veterans one year after the completion of the DES Pilot program. VA will use data collected to determine the level of customer satisfaction with the program. Data obtained through the information collection is used to evaluate and, if necessary, revise the way the DES Pilot is conducted in an effort to raise customer service standards.

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Authorizing Statute(s): PL: Pub.L. 110 - 181 Section 1644(g) Name of Law: National Defense Authorization Act (NDAA) 2008
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	75 FR 39	03/01/2010
30-day Notice:	Federal Register Citation:	Citation Date:
	75 FR 88	05/07/2010
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
Survey of Satisfaction with the Disability Evaluation System (DES)

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	403	0	0	403	0	0
Annual Time Burden (Hours)	101	0	0	101	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: New data collection.

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Annual Cost to Federal Government: $1,515

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 08/06/2010

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